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2020-01-28 Form 410 - MAPS PACStatement of Organization Recipient Committee Date Stamp CALIFORNIA 41 0 FORM ----------------------...-----------St ate men t Type O Initial RE CEI V ED i2I Amendment 0 Not yet qualified or 0 Date qualification threshold met Date qualification threshold met ---J!---11---_2_,,_3_,/ 2019 1. Committee Information I.D. Number (if applicable) NAME OF COMMITTEE Management Association of Palm Springs -MAPS PAC STREET ADDRESS (NO P.O. BOX) STATE Palm Springs CA FUU MAILING AOORESS(IF DIFFERENT) JURISDICTION WHERE COMMITTEE IS ACTIVE 1416257 AREA CODE/PHONE D Termination -See Part~ Y OF P /', LH SPRINGS Date of termination 020 JAN 28 PH 3: 02 _ ___,/ _ _,/ __ OF ICE OF THE CITY CLE Ht 2. Treasurer and Other Principal Officers NAME OF TREASURER Catherine Salazar-Wilson STREET ADDRESS (NO P.O. BOX) CODE 92264 ZIPCOOE For Official Use Only AREA CODE/PHONE 760-333-6854 AREA CODE/PHONE Riverside Palm Springs Rick Mozzillo, PAC President-See attached list for others STREET ADDRESS (NO P.O. BOX) Palm Springs STATE Z.IPC'ODE AREA CODE/PHONE CA 92262 3. Verification I have used all reasonable diligence in preparing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the laws of the Stat;-Qt ~f i:nia that t .he foregoing i1s true and correct. Executedon 1-27-2020 By RE-O-FT-R-EA-SU-R-£R-O-R-A-SS-IST-A-NT_TR_EAS_U_RE_R ___________ _ Executed on DATE By Executed on DATE By Executed on By DATE SIGNAT\JRE OF CDNTROlllNG OFFIC.EHOLDER, CANDIDATE. OR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, DR STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, OR STAT£ MEASURE PROPONENT FPPC Form 410 (August/2018) FPPC Advice: advlce@fppc.ca.gov (866/275-3n2) www.fppc.ca.gov Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Management Association of Palm Springs -MAPS PAC CALIFORNIA 410 FORM l,D.NUMSER 1416257 • All committees must 11st the financial lnstltuUon where the campaign bank account Is located. NAM£ OF FINANCIALINSTITUTION Bank of America ADDRESS 588 South Palm Canyon Controlled Committee AREA CODE/PHONE 760-864-8611 CITY Palm Springs BANkACCOUNTNUMBER 325113541173 STATE ZIP CODE CA 92264 • List the name of each controlling officeholder, candidate, or state measure proponent. If candidate or officeholder controlled, also list the elective office sought or held, and district number, if any, and the year of the election. • List the political party with which each officeholder or candidate is affillated or check "nonpartisan:' Stating "No party preference" Is acceptable. • If this committee acts Jointly with another controlled committee, list the name and identification number of the other controlled committee. NAME OF CANDIDATE/OFFICEHOLDER/STATE MEASURE PROPONENT ELECTIVE OFFICE SOUGHT OR HELD (INCLUDE DISTRICT NUMBER IF APPLICABLE) YEAR OF ELECTION PARTY CHECK ONE Nonpartisan Partisan • • Nonpartisan Partisan • • (list political party below) 111st pollttcal party below) Primarily Formed Committee Primarily formed to support or oppose specific candidates or measures in a single election. List below: CANDIDATE(SJ NAME OR MEASURE(S) FULL nne (INCLUDE BALLOT NO. OR LETTER) IF A RECAU, STATE •RECALL'" IN FRONT OF THE OFFICEHOLDER'S NAME. CANDIDATE(S) OFFICE SOUGHT OR HELD OR MEASURE(S) JURISDIOI0N (INCLUDE DISTRICT NO., CITY OR COUNTY, AS APPLICABLE) T • FPPC Farm 410 (August/2018) FPPC Advice: advlce@lfppc.ca.go11 (866/275-3772) www.fppc.ca.go11 Statement of Organization Recipient Committee INSTRUCTIONS ON REVERSE COMMITTEE NAME Management Association of Palm Springs -MAPS PAC CALIFORNIA 41 Q FORM LD.NUMBER 14162,57 General Purpose Committee Not formed to support or oppose specific candidates or measures in a single election. Check only one box: li2I CITY Committee Q COUNTY Committee O STATE Committee PROVIDE BRIEF DESCRIPTION OF ACTIVlTY To support this Organization in advocating. for the betterment of its membership and the community. Sponsored Committee List additional sponsors on an attachment. NAMEOFSPONSOR STREET ADDRESS NO.AND STREET Small Contributor Committee o _ _,. __ , __ Datequa~ INDUSTRY GROUP ORAFFIUATION OF SPONSOR CITY STATE ZIP CODE AREA CODE/PHONE s:-TE!fftlj!J~!i#QJl!.9U_it~m~ij,~t=, ._,., <~-s1gf.1~g!lj~y.erffj~.9~i !t1~ie~~'!~f~ ~s!~~~~~_clild/Qi.~~-~!~,!~~ ~~~h_g1der; i>r.propgn~ ~rtifvt~~ aifciJ~~J~jlO}Ying ~~irlttO~s·hav~~je~ ~et ,. • This committee has ceased to receive contributions and make expenditures; • This committee does not anticipate receiving contributions or making expenditures in the future; • This committee has eliminated or has no intention or ability to discharge all debts, loans received, and other obligations; • This committee has no surplus funds; and • This committee has filed all campaign statements required by the Political Reform Act disclosing all reportable transactions. There are restrictions on the disposition of surplus campaign funds held by elected officers who are leaving office and by defeated candidates. Refer to Government Code Section 89519. Leftover funds of ballot measure committees may be used for polltical, legislative or governmental purposes under Government Code Sections 89511-89518, and are subject to Elections Code Section 18680 and FPPC Regulation 18521.5. FPPC Form 410 (August/2018) FPPC Advice: adilice@lfppc.ca.gov (866/275-3772). www.fppc.ca.gov List of other Principal Officers for the Management Association of Palm Springs -MAPS PAC Rick Mazzillo -President of MAPS David Newall -Vice President of MAPS Jarvis Crawford -Secretary of MAPS Leigh Gileno -Treasurer of MAPS Mike De Castro -Member at Large MAPS 1-27-2020